NPIMap

Organization Active NPI

Shafa Physical Therapy

  • Physical Therapy Clinic/Center
  • Medford, MA
National Provider Identifier
1932209251
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1039 Issued in MA
Legal business name
SHAFA PHYSICAL THERAPY
Practice address
196 Boston Ave
Suite 2200
Medford, MA 02155-4236
Phone
(781) 391-5151
NPI assigned
Sep 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Fatemeh Mehry BehbakhtNPI 1629271218
Title
Owner
Phone
(781) 391-5151

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1039 MA Primary

Addresses

Primary practice location

196 Boston Ave
Suite 2200
Medford, MA 02155-4236

Mailing address

196 Boston Ave
Medford, MA 02155-4236

Other identifiers 1

IdentifierTypeStateIssuer
9754351MedicaidMA

National Provider Directory

National Provider Directory

Locations

196 Boston Ave
Ste 2200
Medford, MA 02155
Phone (781) 391-5151

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932209251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 BOSTON AVE",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 BOSTON AVE",
            "address_2": "SUITE 2200",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554236",
            "telephone_number": "781-391-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAFA PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEHBAKHT",
        "authorized_official_first_name": "FATEMEH",
        "authorized_official_middle_name": "MEHRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-391-5151"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MA",
            "license": "1039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9754351",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.